175,384 results match your criteria pelvic


ESB Clinical Biomechanics Award 2020: Pelvis and hip movement strategies discriminate typical and pathological femoral growth - Insights gained from a multi-scale mechanobiological modelling framework.

Clin Biomech (Bristol, Avon) 2021 Jun 5;87:105405. Epub 2021 Jun 5.

Human Movement Biomechanics Research Group, KU Leuven, Belgium.

Background: Many children with cerebral palsy (CP) develop skeletal deformities during childhood. So far, it is unknown why some children with CP develop bony deformities whereas others do not. The aims of this study were to (i) investigate what loading characteristics lead to typical and pathological femoral growth, and (ii) evaluate why some children with CP develop femoral deformities whereas other do not. Read More

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One-Year Clinical and Imaging Follow-up After Exercise-Based Treatment for Acute Complete Adductor Longus Tendon Avulsions in Athletes: A Prospective Case Series.

Am J Sports Med 2021 Jun 23:3635465211015996. Epub 2021 Jun 23.

Erasmus MC Center for Groin Injuries, Department of Orthopaedics, Erasmus MC University Medical Centre, Rotterdam, the Netherlands.

Background: Complete avulsions of the adductor longus tendon are serious injuries, yet we have few data to inform clinical decisions on management. Previous studies are limited by a lack of detailed follow-up.

Purpose: To describe detailed clinical and imaging measures 1 year after complete proximal adductor longus avulsion injuries in athletes who received exercise-based treatment. Read More

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Stress Incontinence in Women.

Authors:
Jennifer M Wu

N Engl J Med 2021 Jun;384(25):2428-2436

From the Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill.

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Ga-prostate-specific membrane antigen (PSMA) PET/CT as a clinical decision-making tool in biochemically recurrent prostate cancer.

Asia Pac J Clin Oncol 2021 Jun 23. Epub 2021 Jun 23.

Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia.

Objective: PSMA PET/CT has demonstrated superior sensitivity over conventional imaging in the detection of local and distant recurrence in biochemically relapsed (BCR) prostate cancer. We prospectively investigated the management impact of Ga-PSMA PET/CT imaging in men with BCR, with the aim of identifying baseline clinicopathological predictors for management change.

Patients And Methods: Men with BCR who met eligibility criteria underwent Ga-PSMA-11 PET/CT at Monash Health (Melbourne, Australia). Read More

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Dietary Practices of Women with Endometriosis: A Cross-Sectional Survey.

J Altern Complement Med 2021 Jun 23. Epub 2021 Jun 23.

NICM Health Research Institute, Western Sydney University, Penrith, Australia.

Endometriosis causes deleterious effects on the lives of sufferers across multiple domains impacting quality of life. Commonly utilized pharmaceutical interventions offer suboptimal efficacy in addition to potentially intolerable side effects for many women. There is some evidence for dietary therapies reducing endometriosis symptoms, but little data on dietary preferences/strategies used, and their impact, in a community setting. Read More

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Manual Acupuncture Plus Usual Care Versus Usual Care Alone in the Treatment of Endometriosis-Related Chronic Pelvic Pain: A Randomized Controlled Feasibility Study.

J Altern Complement Med 2021 Jun 23. Epub 2021 Jun 23.

NICM Health Research Institute, Western Sydney University, Penrith, Australia.

To determine the acceptability and feasibility of acupuncture for the treatment of endometriosis-related chronic pelvic pain. A prospective, randomized controlled feasibility study. Outpatient setting in Sydney, Australia. Read More

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Emergency resection or diverting stoma followed by elective resection in patients with colonic obstruction due to locally advanced cancer: a national cohort study.

Colorectal Dis 2021 Jun 23. Epub 2021 Jun 23.

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Aim: To assess long-term prognosis after emergency resection versus primary diverting stoma followed by elective tumour resection.

Method: A national register-based cohort study with retrospective analysis of prospectively collected data was performed. All Swedish patients with non-metastatic obstructive locally advanced colon cancer treated with emergency resection or diverting stoma, followed by an elective resection, between 2007 and 2017 were included. Read More

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Development of patient-reported outcomes item set to evaluate acute treatment toxicity to pelvic online magnetic resonance-guided radiotherapy.

J Patient Rep Outcomes 2021 Jun 23;5(1):47. Epub 2021 Jun 23.

Odense University Hospital, Research Unit of Oncology, Kløvervænget 19, 5000, Odense C, Denmark.

Background: A new technology in cancer treatment, the MR-linac, provides online magnetic resonance-guided radiotherapy (MRgRT) that combines real-time visualization of the tumor and surrounding tissue with radiation therapy to deliver treatment more accurately. Online MRgRT makes it possible to minimize treatment volume, potentially reducing acute treatment toxicity. Patient-reported outcomes (PRO) add the patient perspective to evaluating treatment toxicity related to new technology. Read More

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The Effect of Sacroiliac Fusion and Pelvic Fixation on Rod Strain in Thoracolumbar Fusion Constructs: A Biomechanical Investigation.

Spine (Phila Pa 1976) 2021 Jul;46(14):E769-E775

Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD.

Study Design: In vitro biomechanical study.

Objective: Investigate effects of sacroiliac joint (SIJ) fusion and iliac fixation on distal rod strain in thoracolumbar fusions.

Summary Of Background Data: Instrument failure is a multifactorial, challenging problem frequently encountered by spinal surgeons. Read More

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[ILIOHYPOGASTRIC NERVE ENTRAPMENT IN A CHILD - A RARE CAUSE FOR CHRONIC ABDOMINAL AND PELVIC PAIN IN CHILDREN].

Harefuah 2021 Jun;160(6):346-348

Spine Surgery Unit, Meir Medical Center, Kfar Saba.

Introduction: Entrapment of the iliohypogastric nerve is a rare cause of abdominal pain in children. We present a case report of a 12 year old girl with abdominal pain following a fall accompanied by nausea, vomiting and odynuria. Thorough investigation was normal and a non-organic cause was proposed. Read More

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Dosimetric impact of using a commercial metal artifact reduction tool in carbon ion therapy in patients with hip prostheses.

J Appl Clin Med Phys 2021 Jun 23. Epub 2021 Jun 23.

Shanghai Key Laboratory of Radiation Oncology, Shanghai, China.

The study investigated the dosimetric impact of an iterative metal artifact reduction (iMAR) tool on carbon ion therapy for pelvic cancer patients with hip prostheses. An anthropomorphic pelvic phantom with unilateral and bilateral hip prostheses was used to simulate pelvic cancer patients with metal implants. The raw data obtained from phantom CT scanning were reconstructed with a regular filtered back projection (FBP) algorithm and then corrected with iMAR. Read More

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Robot-assisted sacrocolpopexy: not only for vaginal vault suspension? An observational cohort study.

Int Urogynecol J 2021 Jun 23. Epub 2021 Jun 23.

Department of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands.

Introduction And Hypothesis: Surgery for pelvic organ prolapse (POP) has high recurrence rates. Long-term anatomical and patient-reported outcomes after pelvic floor repair are therefore required.

Methods: This prospective observational cohort study was conducted in a teaching hospital with tertiary referral function for patients with POP. Read More

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The association between diarrhea and serum cytokines in patients with gynecologic cancer treated with surgery and pelvic chemoradiotherapy.

Clin Transl Radiat Oncol 2021 Jul 9;29:60-64. Epub 2021 Jun 9.

Department of Laboratory Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Purpose: We investigated whether serum cytokines including Interleukin (IL)-1β, IL-6 and tumor necrosis factor alpha (TNFα) are increased during pelvic chemoradiotherapy (CRT) in patients with gynecologic malignancies, and sought to identify prognostic factors for the development of diarrhea during pelvic CRT.

Materials And Methods: Patients with cervical or endometrial cancer receiving postoperative pelvic CRT were eligible for this prospective study. Patients were evaluated weekly during CRT for symptoms, including diarrhea and constipation. Read More

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Diffuse bone metastasis from cholangiocarcinoma involving the sternum: A case report and review of literature.

Int J Crit Illn Inj Sci 2021 Jan-Mar;11(1):43-46. Epub 2021 Mar 27.

Saint Michael's Medical Center, New York Medical College, New Jersey, United States.

Cholangiocarcinoma (CCA) is a rare cancer of the bile duct epithelial cells and it commonly spreads to the regional lymph nodes, liver, and lungs. Bone metastasis has been reported in patients with CCA, involving both the axial and appendicular skeleton. Herein, we report a case of extrahepatic CCA with extensive bone metastases involving the calvarium, sternum, bilateral ribs and scapulae, entire spine, pelvis, and bilateral femur. Read More

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Sexual function following pelvic fracture urethral injury and posterior urethroplasty.

Transl Androl Urol 2021 May;10(5):2043-2050

University of Utah, Salt Lake City, UT, USA.

Background: To evaluate erectile and sexual function after pelvic fracture urethral injury (PFUI) by performing a retrospective review of a large multi-center database. We hypothesized that most men will have erectile dysfunction (ED) and poor sexual function following PFUI, which will remain after posterior urethroplasty.

Methods: Using the Trauma and Urologic Reconstructive Networks of Surgeons (TURNS) database, we identified PFUI patients undergoing posterior urethroplasty. Read More

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Prostatic fluid exosome-mediated microRNA-155 promotes the pathogenesis of type IIIA chronic prostatitis.

Transl Androl Urol 2021 May;10(5):1976-1987

Department of Urology, Southwest Hospital, The First Affiliated Hospital of Third Military Medical University (Army Medical University), Chongqing, China.

Background: The latest research has shown that exosomes play an important role in cell-to-cell communication and are closely related to the occurrence of many chronic inflammatory diseases. However, no studies have clarified whether exosomes are involved in the pathogenesis of aseptic inflammation, type IIIA chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS-A). This study aimed to explore the relationship between prostatic fluid exosomes and CP/CPPS-A and reveal new pathogenesis. Read More

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Delayed infected lymphocele associated with intracavernosal penile injection.

Urol Case Rep 2021 Nov 8;39:101747. Epub 2021 Jun 8.

New York Medical College, Valhalla, NY, USA.

Pelvic lymphoceles are complications that can arise postoperatively following pelvic surgeries and pelvic lymph node dissection (PLND). Lymphoceles can be clinically symptomatic or remain asymptomatic and spontaneously regress. We report a case of a 55-year-old patient who presented with an infected lymphocele 8 months post robot-assisted radical prostatectomy (RARP) with a PLND associated with intracavernosal injection for erectile dysfunction. Read More

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November 2021

Relationships Between Spinal Alignment and Muscle Mass in Osteoporosis Patients Over 75 Years of Age Who Were Independent and Maintained Their Activities of Daily Living.

Cureus 2021 May 19;13(5):e15130. Epub 2021 May 19.

Orthopaedic Surgery, Kitasato University, Sagamihara, JPN.

Introduction Elderly patients with osteoporosis often complain of back pain associated with pathological vertebral fractures caused by abnormal spinal alignment. Few reports evaluate the relationships among muscle mass, bone mineral density (BMD), sagittal spinal alignment, and low back pain. We hypothesized that decreasing muscle mass in elderly patients with osteoporosis could cause spinal alignment abnormalities. Read More

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Should We Routinely Exclude Retroperitoneal Abscess in Cases of Hip Periprosthetic Joint Infections?

Cureus 2021 May 19;13(5):e15126. Epub 2021 May 19.

Department of Orthopaedic Surgery and Musculoskeletal Trauma, University Hospital of Larissa, Larissa, GRC.

Hip periprosthetic joint infections (PJIs) with concomitant retroperitoneal abscesses may not be common clinical situations but they can be easily misdiagnosed affecting the effectiveness of infection control and eradication interventions. We present the case of a 75-year-old female patient with a late hip PJI complicated with iliopsoas abscess that was barely discovered intraoperatively. Literature review supports our recommendation of a high index of suspicion in cases of hip PJI and even routinely imaging examination of pelvis and abdomen for retroperitoneal involvement exclusion. Read More

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A Hemostatic Technique in Robot-Assisted Laparoscopic Partial Nephrectomy and Its Impact on Renal Function.

Cureus 2021 May 19;13(5):e15122. Epub 2021 May 19.

Urology, Apollo Hospitals, Chennai, IND.

Purpose Robot-assisted partial nephrectomy (RAPN) has become popular in recent years for small renal masses. We describe a technique of suturing renal defects during RAPN that is reliable and quick, does not necessitate the need for hemostatic agents, and reduces perioperative complications. Materials and methods A total of 24 patients who underwent RAPN were included in the study period between 2013 and 2018 and data were analyzed. Read More

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Gastrocnemius acrometastasis from muscle-invasive urothelial bladder carcinoma: A case report.

Radiol Case Rep 2021 Aug 9;16(8):2099-2102. Epub 2021 Jun 9.

Department of Radiology, Faculty of Medicine, Hospital Canselor Tunku Muhriz, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.

Urinary bladder carcinoma is a common malignancy worldwide. The metastatic disease to distant organs including lung, liver, and bone is well established. However, metastasis to below-knee-level; also known as acrometastasis is a rare occurrence and occurs approximately 0. Read More

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Iatrogenic ureteric stricture post image guided renal cryoablation in a patient with von hippel-lindau syndrome.

Radiol Case Rep 2021 Aug 8;16(8):2057. Epub 2021 Jun 8.

Department of Diagnostic and Interventional Radiology, Institute of Oncology, Leeds Teaching Hospitals Trust, St. James's University Hospital, Woodhouse, Leeds LS2 9JT.

A 53-year-old lady is known to have Von Hippel-Lindau syndrome with a long history of previous renal cell carcinomas (RCCs) in both kidneys. She was treated by partial nephrectomy for a right peripheral RCC and subsequently image guided radiofrequency ablation (RFA) of a left central RCC. She developed another de novo RCC adjacent to the right pelvic-ureteric junction (PUJ) 4 years after the initial RFA. Read More

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Nutcracker syndrome: A rare cause of chronic pelvic pain and left back pain.

Radiol Case Rep 2021 Aug 8;16(8):2025-2030. Epub 2021 Jun 8.

Department of Radiology, National Institute of Oncology, UHC Ibn Sina, Mohamed V University, Faculty of Medicine, 57 rue Napoli apartment 09 ocean, Rabat 10040, Morocco.

The Nutcracker Syndrome is a rare and often unrecognized cause of chronic pelvic pain and left back pain. These symptoms are due to the left renal vein compression between the aorta and the superior mesenteric artery (anterior nutcracker) or between the aorta and the spine (posterior nutcracker). The variety of clinical manifestations make the diagnosis difficult and commonly delayed. Read More

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[Colonic Mass Secondary to Sevelamer-associated Rectal Ulcer].

Korean J Gastroenterol 2021 Jun;77(6):305-308

Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

The phosphorous balance is clinically important in increasing the long-term outcomes and preventing complications of end-stage renal disease. Sevelamer is a phosphate binder used widely to regulate hyperphosphatemia. On the other hand, gastrointestinal side effects increase with increasing sevelamer intake. Read More

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Adrenal Ganglioneuroma.

Kathmandu Univ Med J (KUMJ) 2020 Jul-Sept.;18(71):316-319

Department of Radiology, Nepal Medical College Teaching Hospital, Kathmandu, Nepal.

Adrenal ganglioneuromas are rare sympathetic differentiated tumors which originate from neural crest cells. These lesions are usually discovered incidentally on imaging and tend to be hormonally silent. Preoperative diagnosis of adrenal ganglioneuroma remains extremely challenging and the gold standard treatment is adrenalectomy. Read More

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Superior mesenteric vein and portal vein thrombosis in a patient with COVID-19: a rare case.

BMJ Case Rep 2021 Jun 22;14(6). Epub 2021 Jun 22.

General Surgery Department, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK.

A 68-year-old man was referred to the general surgeons on account of his abdominal pain of unknown cause. He had contracted COVID-19, 9 days prior. CT chest abdomen and pelvis revealed an extensive thrombus extending from the portal vein to the superior mesenteric vein. Read More

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Uretero-arterial fistula: Six new cases and systematic review of the literature.

Prog Urol 2021 Jun 19. Epub 2021 Jun 19.

Urology department, University Hospital Caen, Caen, France. Electronic address:

Aim: Secondary uretero-arterial fistulas (SUAF) are uncommon, underrated and threatening for any patient. Gross hematuria is a clinical symptom of this pathology for patients with history of pelvic radiotherapy, complex pelvic surgery or long-term ureteral stenting. The purpose of this work is to assess risk factors, diagnosis and treatment of SUAF. Read More

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Risk factors in the prognosis of flap techniques for pilonidal sinus disease based on magnetic resonance imaging and clinical parameters.

Asian J Surg 2021 Jun 19. Epub 2021 Jun 19.

Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China; Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China. Electronic address:

Background: Postoperative complications and recurrence are major diffficulties in the flap techniques for the treatment of pilonidal sinus (PS), however, the risk factors remain unclear. While magnetic resonance imaging (MRI) offers the highest soft tissue resolution, few studies have applied MRI to investigate the basic parameters of PS.

Methods: A total of 100 patients receiving Limberg flap (LF) or Karydakis flap (KF) surgery at the Sixth Affiliated Hospital of Sun Yat-Sen University were retrospectively analyzed, and the median follow-up period was 42 (range, 20-90) months. Read More

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Predictors of Difficult Laparoscopic Cholecystectomy on Humanitarian Missions to Peru Difficult LC in Surgical Missions.

J Surg Res 2021 Jun 19;267:102-108. Epub 2021 Jun 19.

Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.

Background: Laparoscopic cholecystectomy (LC) is the gold standard treatment of gallstone disease. On short-term surgical missions (STSMs), it is unclear what factors can predict safety of LC. This study evaluates patient risk factors of difficult LC in Northern Peru, towards optimizing outcomes. Read More

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